Evidence map›Paper›PMID 37741974›Full record

ArticleJournal of translational medicine2023

Matched analysis of circulating selenium with the breast cancer selenotranscriptome: a multicentre prospective study.

Kamil Demircan, Ylva Bengtsson, Thilo Samson Chillon, Johan Vallon-Christersson, Qian Sun, Christer Larsson, Martin Malmberg, Lao H Saal, Lisa Rydén, Åke Borg and 2 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Journal of translational medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02306096 (SCAN-B), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02306096 recruitingnot on this map

SCAN-B: The Sweden Cancerome Analysis Network - Breast Initiative

TypeobservationalSponsorLund UniversityRan2010 to 2031Enrolled20,000ConditionsBreast Neoplasms
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Selenium-Containing Compounds in Breast Cancer Therapy.Biological trace element research · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Serum CD5L Responds Positively to Selenium and Coenzyme QAntioxidants (Basel, Switzerland) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kamil DemircanInstitute for Experimental Endocrinology, Cardiovascular-Metabolic-Renal (CMR)-Research Center, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Ylva BengtssonDepartment of Surgery, Skåne University Hospital Malmö, Lund University, Malmö, Sweden.
Thilo Samson ChillonInstitute for Experimental Endocrinology, Cardiovascular-Metabolic-Renal (CMR)-Research Center, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Johan Vallon-ChristerssonDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Qian SunInstitute for Experimental Endocrinology, Cardiovascular-Metabolic-Renal (CMR)-Research Center, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Christer LarssonDivision of Translational Cancer Research, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Martin MalmbergDepartment of Oncology, Skåne University Hospital, Lund, Sweden.
Lao H SaalDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Lisa RydénDepartment of Surgery, Skåne University Hospital Malmö, Lund University, Malmö, Sweden.
Åke BorgDivision of Oncology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Jonas ManjerDepartment of Surgery, Skåne University Hospital Malmö, Lund University, Malmö, Sweden. jonas.manjer@med.lu.se.ORCID http://orcid.org/0000-0002-3158-5289
Lutz SchomburgInstitute for Experimental Endocrinology, Cardiovascular-Metabolic-Renal (CMR)-Research Center, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany. lutz.schomburg@charite.de.ORCID http://orcid.org/0000-0001-9445-1555

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLow serum selenium and altered tumour RNA expression of certain selenoproteins are associated with a poor breast cancer prognosis. Selenoprotein expression stringently depends on selenium availability, hence circulating selenium may interact with tumour selenoprotein expression. However, there is no matched analysis to date.

methodsThis study included 1453 patients with newly diagnosed breast cancer from the multicentric prospective Sweden Cancerome Analysis Network - Breast study. Total serum selenium, selenoprotein P and glutathione peroxidase 3 were analysed at time of diagnosis. Bulk RNA-sequencing was conducted in matched tumour tissues. Fully adjusted Cox regression models with an interaction term were employed to detect dose-dependent interactions of circulating selenium with the associations of tumour selenoprotein mRNA expression and mortality.

results237 deaths were recorded within ~ 9 years follow-up. All three serum selenium biomarkers correlated positively (p < 0.001). All selenoproteins except for GPX6 were expressed in tumour tissues. Single cell RNA-sequencing revealed a heterogeneous expression pattern in the tumour microenvironment. Circulating selenium correlated positively with tumour SELENOW and SELENON expression (p < 0.001). In fully adjusted models, the associations of DIO1, DIO3 and SELENOM with mortality were dose-dependently modified by serum selenium (p < 0.001, p = 0.020, p = 0.038, respectively). With increasing selenium, DIO1 and SELENOM associated with lower, whereas DIO3 expression associated with higher mortality. Association of DIO1 with lower mortality was only apparent in patients with high selenium [above median (70.36 µg/L)], and the HR (95%CI) for one-unit increase in log(FPKM + 1) was 0.70 (0.50-0.98).

conclusionsThis first unbiased analysis of serum selenium with the breast cancer selenotranscriptome identified an effect-modification of selenium on the associations of DIO1, SELENOM, and DIO3 with prognosis. Selenium substitution in patients with DIO1-expressing tumours merits consideration to improve survival.

Indexed as

Breast NeoplasmsSeleniumFemaleHumansProspective StudiesRNASelenoproteinsTumor MicroenvironmentRNASeleniumSelenoproteinsGlutathione peroxidasePrognosisSELENOPSelenoproteinsThyroid hormones

Identifiers

PMID37741974
PMCPMC10517476

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.